Individual
SHAWNA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 W 16TH ST, YUMA, AZ 85364-4430
(928) 344-4325
(928) 344-3084
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 336-1801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN201220
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
272920
AZ
Other
Enumeration date
03/07/2022
Last updated
06/13/2022
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